REHAN SYED SHAMIM (NPI# 1730314485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730314485 |
| Entity Type | Individual |
| Full Name | REHAN SYED SHAMIM |
| Credential | MD |
| Practice Address |
108 Bilby Rd Suite 201 Hackettstown NJ 07840-4174 |
| Practice Telephone | 9086843005 |
| Practice Fax Number | 9086843301 |
| Mailing Telephone | 9086843005 |
| Mailing Fax Number | 9086843301 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
25MA09691100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
108 BILBY RD SUITE 201 |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943012 | Paul Gregory Teja | Orthopaedic Surgery | 108 Bilby Rd, Ste. 201, Hackettstown, NJ 07840-4174 | 2005-06-27 |
| 1790221125 | Andrew Pfleger | Physician Assistant | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2017-01-09 |
| 1609311398 | North Jersey Sports Medicine and Orthopedic Center | Physician Assistant | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2017-01-04 |
| 1568912301 | Joshua Haggan | Physical Therapist | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2016-10-05 |
| 1346667342 | Kevin Kear | Orthopaedic Surgery | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2014-03-27 |
| 1205264892 | Michael Gundell | Physician Assistant | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2013-10-17 |
| 1336572056 | Advocare, LLC | Otolaryngology | 108 Bilby Rd, Ste 301, Hackettstown, NJ 07840-4174 | 2013-08-16 |
| 1730427030 | Natural Image Skin Center | Dermatology | 108 Bilby Rd, Suite 202, Hackettstown, NJ 07840-4174 | 2013-01-21 |
| 1154669513 | Daniel Alexander Rodriguez | Emergency Medical Technician, Basic | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2013-01-19 |
| 1912243270 | Ear, Nose, & Throat Medical Associates, Pa | Otolaryngology | 108 Bilby Rd, Suite 301, Hackettstown, NJ 07840-4174 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943012 | Paul Gregory Teja | Orthopaedic Surgery | 108 Bilby Rd, Ste. 201, Hackettstown, NJ 07840-4174 | 2005-06-27 |
| 1801093737 | Robert Michael Masella | Orthopaedic Surgery | 57 Us Highway 46, Suite 107, Hackettstown, NJ 07840-2695 | 2007-07-03 |
| 1174554471 | Robert A Defalco Jr. | Orthopaedic Surgery | 108 Bilby Rd, Suite 201, Hackettstown, NJ 07840-4174 | 2006-07-05 |
| 1265482897 | Stephen D Koss | Orthopaedic Surgery | 108 Bilby Rd, Ste 201, Hackettstown, NJ 07840-4174 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619536323 | Collegiate Sports Care, LLC | Orthopaedic Surgery | 345 Main St Ste 201, Madison, NJ 07940-2339 | 2019-06-07 |
| 1215443841 | North Jersey Sports Medicine & Orthopedic Center, LLC | Orthopaedic Surgery | 218 Ridgedale Ave Ste 202, Cedar Knolls, NJ 07927-2109 | 2017-12-19 |
| 1811318496 | Gotham City Orthopedics, LLC | Orthopaedic Surgery | 100 Town Square Pl Ste 208, Jersey City, NJ 07310-2778 | 2013-12-26 |
| 1124454822 | Andrew James Mostello | Orthopaedic Surgery | 205 S Orange Ave Ste C-1200, Newark, NJ 07103 | 2013-09-25 |
| 1750625430 | The Frankel Orthopedic and Sports Medicine Center LLC | Orthopaedic Surgery | 64 Central Square, Linwood, NJ 08221 | 2012-11-19 |
| 1215261037 | North Jersey Orthopaedic & Sports Medicine Institute | Orthopaedic Surgery | 6 Brighton Rd Ste 101, Clifton, NJ 07012-1647 | 2009-09-25 |
| 1154569044 | Jose Francisco Colon | Orthopaedic Surgery | 638 Mount Prospect Ave, Newark, NJ 07104-3110 | 2009-01-30 |
| 1376746362 | Diego Alberto Herrera Figueira | Orthopaedic Surgery | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | 2007-06-07 |
| 1184832255 | Frances Mary Rispoli | Orthopaedic Surgery | 426 Franklin Ave, Belleville, Belleville, NJ 07109-1503 | 2007-05-20 |
| 1063562445 | David Michael Deramo | Orthopaedic Surgery | 370 Grand Ave Ste 100, Englewood, NJ 07631-4109 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.